| Dennis C. Packey, Do Pc | |
|
20867 Mack Ave Suite 3 Grosse Pointe Woods MI 48236-1392 | |
| (313) 886-0600 | |
| (313) 886-0612 |
| Full Name | Dennis C. Packey, Do Pc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 20867 Mack Ave, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | Dennis C Packey (OWNER) |
| Authorized Official Contact | 3138860600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis C. Packey, Do Pc 20867 Mack Ave Suite 3 Grosse Pointe Woods MI 48236-1392 Ph: (313) 886-0600 | Dennis C. Packey, Do Pc 20867 Mack Ave Suite 3 Grosse Pointe Woods MI 48236-1392 Ph: (313) 886-0600 |
| NPI Number | 1376667634 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376667634 | NPI | - | NPPES |
| 114836829 | Medicaid | MI | |
| 1158213614 | Other | MI | BCBS PIN |
| 114836838 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | DP006508 (Michigan) | Primary |
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